Optum Infusion Services 202, Inc., NPI 1700975802
Home Infusion Therapy Pharmacy in Jacksonville, FL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1700975802 |
| NPI Entity Type | Organization |
| Provider Name | Optum Infusion Services 202, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 9655 Florida Mining Boulevard W. #411, Jacksonville, FL, US |
| Provider Mailing Address | 9655 Florida Mining Boulevard W. #411, Jacksonville, FL, US, 32257 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | David John Oberg |
| Official Position | VICE PRESIDENT, COMPLIANCE |
| Phone | 949-988-5893 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Infusion Therapy Pharmacy |
| Classification | |
| Group | |
| License No. | PH22242 |
| License State | FL |
| Description | Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1023441 | NCPDP PROVIDER IDENTIFICATION NUMBER | 01 | |
| 016047801 | FL | MEDICAID | 05 |
| 016047800 | FL | MEDICAID | 05 |
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